Provider First Line Business Practice Location Address:
1190 E NINE MILE RD
Provider Second Line Business Practice Location Address:
SENIOR HEALTH SERVICES
Provider Business Practice Location Address City Name:
PENSACOLA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32514-1651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-477-0401
Provider Business Practice Location Address Fax Number:
850-477-2183
Provider Enumeration Date:
12/16/2005